Subluxation vs Dislocation
Treatment options will vary with each individual, based on the specific injury (subluxation vs dislocation) and if it the first time the injury has occurred or if it has occurred on previous occasions.
Treatment of subluxation
- Control pain with a non-steroidal, anti-inflammatory medication such as Advil or Aleve
- Abstain from overhead activities until permitted by your physician
- Implement a shoulder strengthening program, which are important in stabilizing the humeral head in the socket
- Possible referral to a physical therapist
Treatment of dislocation
- With an initial dislocation episode, evaluation in the Emergency Room or Urgent Care facility is common. The doctor will manipulate the shoulder until the head of the humerus goes back into the socket (reduction maneuver). If the doctor is unable to successfully get the humeral head into the socket, he may need to use anesthesia to sedate you to manipulate the head back into the socket.
- Following a manipulation, you will most likely be put in an immobilization device until you are seen by your physician
- Non-steroidal, anti-inflammatory medications such as Advil or Aleve may decrease inflammation and control pain
- Begin a rehab program that will focus on regaining range of motion and strengthening the muscles and ligaments that stabilize the humerus in the socket
- Studies show that individuals who experience their first dislocation before the age of 20-25 have a greater than 90% chance of recurrent instability.
- Individuals with repeat dislocations will usually require surgery. Surgery is performed to repair the ligaments and labrum that normally stabilize the head of the humerus in the socket.
- Your doctor will discuss all of your treatment options with you. If surgery is indicated, s/he will discuss the technique s/he will use for the procedure in detail. This surgery is frequently performed arthroscopically.
- Following surgery, the affected arm is placed in a sling for four to six weeks.
- Your physician will refer you to formal physical therapy to initiate range of motion exercises with progression to strengthening exercises. Physical therapy may not begin until several weeks following surgery.
- Your doctor will monitor your progress and supervise your rehab.
- Return to activity will be at the direction of your physician.
